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X <br />Issued By WMF <br />Issued Department PW <br />Date Issued 1/18/2006 <br />Fund 401 <br />Program <br />Work Activity Work Order <br />WELLMAN, MARK F. <br />PUBLIC WORKS <br />Page 1 <br />2/23/2006 10:35 <br />Accounts Program Ito Function jig Activity ss4 <br />Title SO .75 2004 73RD ST SE 710119664 <br />Wolk Order No 20060100 Project Activity Type SERVICE REQUEST <br />Date 1n6/2o06 Time14:02 Original WO so-11919 Billing <br />Customer Information <br />Customer Name <br />Address <br />Apartment No <br />State <br />Subdivision <br />Phone No ( I <br />Second Phone ( I <br />E-Mail Address <br />Problem Information <br />Address <br />From Cross Street <br />To Cross Street <br />City <br />Subdivision <br />Problem <br />Sub Problem <br />Requested By <br />Agency <br />Initiated From <br />Utility Locate (USA) No <br />Assignment Information <br />Dept <br />Crew <br />Contractor <br />Assigned To <br />Assigned By <br />Street <br />City <br />Zip <br />Exl <br />Ext <br />Street <br />Customer Id <br />Change Map Y/N <br />Zip <br />Map Book Map Reference <br />Date Requested <br />Related Request <br />Called Dale Expiration Date <br />Priority Estimated Hours <br />Assigned Date <br />To Be Comp Date <br />Scheduled Date <br />Scheduled Time <br />Route <br />Route Sequence <br />Comments <br />HOUSE DEMO'D. NEW WATER SERVICE REO'0 PER MIKE WI.RD <br />Action Taken <br />Status CL <br />"78 <br />